Site Logo
Where to get a new girlfriend or boyfriend > 25 years > Can a woman get pregnant after having a partial hysterectomy

Can a woman get pregnant after having a partial hysterectomy

Background: Pregnancy after hysterectomy is rare. Because this clinical phenomenon is so uncommon, the diagnosis is not always considered in the evaluation of pain in a reproductive-aged woman after hysterectomy. Delay in diagnosis can result in potentially catastrophic intra-abdominal bleeding. Case: A year-old multigravida underwent a total abdominal hysterectomy for menometrorrhagia. She experienced several weeks of postoperative abdominal pain and ultimately was diagnosed with a week size intra-abdominal pregnancy. Surgical evacuation of the fetus and products of conception were complicated by significant intra- operative bleeding.

Content:
SEE VIDEO BY TOPIC: What to expect with a hysterectomy

A 14-week Abdominal Pregnancy After Total Abdominal Hysterectomy

Metrics details. Pregnancy following hysterectomy is very rare and may lead to significant morbidity, especially when diagnosis is delayed. At the time of current presentation, this patient was confused and irritable, with an undetectable blood pressure, tachycardia, labored breathing, and a distended and tender abdomen.

A diagnosis of hypovolemic shock secondary to ruptured ectopic pregnancy was made, and she underwent emergency laparotomy. Intraoperative findings included 4. Any reproductive-aged woman with at least one ovary and a means for sperm to meet egg should be screened for pregnancy if she presents with an acute abdomen or abdominal or pelvic pain.

Peer Review reports. While a complete uterus is the typical site of gestation, it is not absolutely necessary for fertilization and implantation. Ectopic pregnancies are most commonly found in the fallopian tubes or on peritoneal surfaces in the pelvis, including on the ovaries and omentum [ 1 ].

Pregnancy after hysterectomy is extremely rare, with the first case of ectopic pregnancy after hysterectomy reported by Wendler in [ 2 , 3 , 4 ]. To the best of our knowledge, there are only 72 cases of post-hysterectomy ectopic pregnancy reported in the world literature [ 3 ]. She was also unable to pass feces and flatus and had developed progressive abdominal distension.

She had a past medical history notable only for chronic gastritis for which she took unspecified medications and a past surgical history notable for a Cesarean hysterectomy after an intrauterine fetal demise during labor. As she had been told that her uterus was removed, she did not use contraception and had no menses. She was admitted to our surgical ward with a diagnosis of small bowel obstruction due to presumed post-operation adhesions and possible incisional hernia.

She also had severe anemia and was resuscitated with 2 liters of normal saline and transfused with 2 units of blood. A plan was made to correct the hernia once she was stabilized. After 2 days in our hospital, however, her condition worsened and a consultation was made to Obstetrics and Gynecology for further evaluation. On physical examination at the time of consultation, she was confused and irritable, with an undetectable blood pressure and a thready pulse of She had labored breathing, pale conjunctiva, and a distended abdomen with a palpable mass below the midline surgical scar.

An abdominal examination also revealed a fluid wave and hypoactive bowel sounds. Laboratory testing showed a white blood cell count of Urine human chorionic gonadotropin hCG was positive. A transabdominal ultrasound showed a normal liver, spleen, pancreas, and kidneys.

No lymphadenopathy was seen. The Obstetrics and Gynecology team diagnosed hypovolemic shock secondary to ruptured ectopic pregnancy, and our patient was taken to the operating room for a laparotomy.

While the left ovary appeared normal, the right ovary and both fallopian tubes were absent. The ectopic gestation was clamped at its base and resected from the cervical stump. Bleeding sites were ligated to ensure hemostasis. Our patient was deemed too unstable for trachelectomy. Her abdomen was irrigated with warm saline and the incision closed in layers.

She was transferred to our intensive care unit ICU for aggressive volume resuscitation with 8 liters of normal saline and 5 units of blood, and a dopamine drip was initiated to assist with blood pressure control. Pregnancy after hysterectomy can follow any type of hysterectomy total or supracervical and any approach abdominal, laparoscopic, or vaginal , but the highest risk is with supracervical hysterectomies [ 3 , 5 ].

Pregnancies after hysterectomy can take one of two forms: early and late presenting. Among 72 reported cases worldwide, 30 occurred because of unrecognized luteal phase pregnancies that were in transit to the endometrial cavity. These are considered early presenting post-hysterectomy pregnancies. The other possibility in this category is that sperm were present within the fallopian tube when the hysterectomy was performed.

Late-presenting pregnancies develop as a result of a communication between the vagina and the peritoneal cavity. The location of these ectopic pregnancies after hysterectomy depends on the type of hysterectomy performed and the presence or absence of a residual cervix [ 3 ].

Our case was a late-presenting ectopic pregnancy following supracervical hysterectomy, probably from excess residual tissue. This is probably the third case of cervical stump pregnancy next to the two cases reported by McDaniel and Gullo in [ 6 ]. The interval of time between hysterectomy and ectopic pregnancy for our patient was 6 years, and this contributed to delay in seeking medical care and to late diagnosis.

Delay in diagnosis and treatment is the leading cause of complication and death from ectopic pregnancies [ 4 ]. In fact, our patient was close to death by the time the diagnosis was made. Elective hysterectomies should be done in the pre-ovulatory phase of the menstrual cycle or after effective contraception to avoid early occurring post-hysterectomy ectopic pregnancies [ 2 , 3 ]. In supracervical hysterectomy, removing as much tissue as possible will decrease the risk of ectopic pregnancy [ 5 , 7 ].

In , McMillan and Dunn reported the case of an year-old patient who experienced two pregnancies following hysterectomy [ 1 ]. While unlikely, we understand that our patient may develop a second ectopic pregnancy in the future and are considering an elective trachelectomy to prevent this. While rare, post-hysterectomy ectopic pregnancy can occur and should be considered when a woman presents with abdominal pain and bleeding early or late after hysterectomy.

Abdominal Pregnancy Following Hysterectomy. Surg Gynec Obst. Wendler P. Ein fall con tubenschwangershaft nach extirpatio uteri vaginalis.

Monatsschr Geburtshilfe Gynakol. Fylstra DL. Ectopic pregnancy after hysterectomy may not be so uncommon: A case report and review of the literature. Case Rep Womens Health. Case Rep Obstetrics Gynecol. Ectopic pregnancy after hysterectomy: a review and insight into etiology and prevention.

Fertil Steril. Pregnancies after hysterectomies: a case report and review. J Natl Med Assoc. Ectopic pregnancy after cesarean hysterectomy. Obstet Gynecol. Download references. We would like to thank the patient and staff of Felege Hiwot referral hospital who were involved in the management of the case. The relevant raw data and materials described in the manuscript are available from the corresponding author on reasonable request.

DMA wrote the manuscript. All authors read, reviewed, and approved the manuscript before submission. Correspondence to Dawud Muhammed Ahmed. The quality improvement and research committee of Felege Hiwot referral hospital gave us the ethical clearance to publish this case report.

Written informed consent for publication of this case report and any accompanying images was obtained from the patient. A copy of the written consent is available for review by the Editor-in-Chief of this journal.

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Reprints and Permissions. Ahmed, D. Cervical stump pregnancy 6 years after subtotal hysterectomy: a case report. J Med Case Reports 13, Download citation. Received : 26 July Accepted : 10 April Published : 08 May Skip to main content Advertisement. Search all BMC articles Search. Register your interest. Download PDF. Abstract Background Pregnancy following hysterectomy is very rare and may lead to significant morbidity, especially when diagnosis is delayed.

Conclusion Any reproductive-aged woman with at least one ovary and a means for sperm to meet egg should be screened for pregnancy if she presents with an acute abdomen or abdominal or pelvic pain. Background While a complete uterus is the typical site of gestation, it is not absolutely necessary for fertilization and implantation. Discussion and conclusions Pregnancy after hysterectomy can follow any type of hysterectomy total or supracervical and any approach abdominal, laparoscopic, or vaginal , but the highest risk is with supracervical hysterectomies [ 3 , 5 ].

Early presentation Among 72 reported cases worldwide, 30 occurred because of unrecognized luteal phase pregnancies that were in transit to the endometrial cavity. Late presentation Late-presenting pregnancies develop as a result of a communication between the vagina and the peritoneal cavity. Prevention Elective hysterectomies should be done in the pre-ovulatory phase of the menstrual cycle or after effective contraception to avoid early occurring post-hysterectomy ectopic pregnancies [ 2 , 3 ].

Conclusion While rare, post-hysterectomy ectopic pregnancy can occur and should be considered when a woman presents with abdominal pain and bleeding early or late after hysterectomy. References 1. Google Scholar 2. Google Scholar 3. Article Google Scholar 5. PubMed Article Google Scholar 6.

"Can one get pregnant after a partial hysterectomy?"

This method essentially removes the incubator for a foetus to grow. Many times, the fallopian tube and the ovaries are untouched while the uterus is removed. This leaves behind the organs producing the egg and.

Can a woman get pregnant if she has had a partial hysterectomy? I haven't actually had the procedure yet, but my doctor is saying that it may be necessary to go after a uterine tumor I have.

Ectopic pregnancy after hysterectomy is a very uncommon event, but its frequency is increasing. Since first reported by Wendler in , 71 cases of post-hysterectomy have been reported. Any woman, even after hysterectomy but with ovaries in situ, who presents with an acute abdomen or abdominal—pelvic pain should be screened for pregnancy. Since first reported by Wendler in [1] , fifty-six cases of post-hysterectomy ectopic pregnancies were reported by this author in [2]. Since that publication, 11 subsequent cases have been reported, and other additional cases have been found through a bibliography review.

Can You Get Pregnant After a Hysterectomy?

Hysterectomy is a surgical procedure to remove the womb or uterus for various health reasons. It may also involve removing one or both ovaries, the fallopian tubes, or the cervix based on the medical requirement. Data suggest that more than one-third of women in the US have had a hysterectomy by the age of 60 years 1. In this MomJunction post, we help you understand why this procedure is done, what it holds, and the chances of becoming pregnant after hysterectomy. Hysterectomy is a medically necessary procedure to treat health problems affecting the female reproductive system. You might need one if you have any of the following conditions:. Having a hysterectomy will end your ability to get pregnant. If you plan to become pregnant and cannot go for this procedure, you should consult your doctor for alternatives. For some conditions such as endometriosis, uterine prolapse, and fibroids, there may be less invasive options. You may require a specific type of hysterectomy depending on why you need it, and how well your reproductive system can sustain it 8.

"Can I get pregnant after a partial hysterectomy?"

Metrics details. Pregnancy following hysterectomy is very rare and may lead to significant morbidity, especially when diagnosis is delayed. At the time of current presentation, this patient was confused and irritable, with an undetectable blood pressure, tachycardia, labored breathing, and a distended and tender abdomen. A diagnosis of hypovolemic shock secondary to ruptured ectopic pregnancy was made, and she underwent emergency laparotomy.

A hysterectomy is surgery to remove a female's uterus. Sometimes the cervix, ovaries, and fallopian tubes are also removed.

I got my tubes tied and a year later had a partial hysterectomy. How can i go about doing this. I recommend that you speak with a reproductive specialist.

Pregnancy After a Hysterectomy

.

.

Pregnancy After Hysterectomy: Odds, Risks, And Complications

.

May 7, - Any woman, even after hysterectomy but with ovaries in situ, who presents with Upon presentation she was found on abdominal ultrasound to have a large Because the symptoms of ectopic pregnancy can be mimicked by  ‎Abstract · ‎Introduction · ‎Case · ‎Comment.

.

.

.

.

.

.

.

Comments: 2
  1. Tygosar

    I consider, that you are not right. I am assured. Write to me in PM, we will talk.

  2. Arashigul

    Takes a bad turn.

Thanks! Your comment will appear after verification.
Add a comment

© 2020 Online - Advisor on specific issues.